N251 Notice of funding of case or claim (09.09) © Crown copyright 2009
In the
Claim No.
Claimant
Defendant
Notice of funding of
case or claim
(include Ref.)
(include Ref.)
Notice of funding by means of a conditional fee
agreement, insurance policy or undertaking given by
a prescribed body should be given to the court and all
other parties to the case:
• on commencement of proceedings
• on ling an acknowledgment of service, defence or
other rst document; and
• at any later time that such an arrangement is
entered into, changed or terminated.
Take notice that in respect of
all claims herein
the following claims
the case of (specify name of party)
[is now][was] being funded by:
The court ofce is open between 10 am and 4 pm Monday to Friday.
When writing to the court, please address forms or letters to the Court
Manager and quote the claim number.
(Please tick those boxes which apply)
a conditional fee agreement
which provides for a success fee
Dated
an insurance policy issued on
Date
an undertaking given on
by
in the following terms
Date
Name of prescribed body
The funding of the case has now changed:
the above funding has now ceased
the conditional fee agreement has been
terminated
a conditional fee agreement
which provides for a success fee has been
entered into;
Dated
an insurance policy
has been cancelled
Date
an insurance policy has been issued on
Date
Policy no.
Name and address of insurer
Policy no.
Name and address of insurer
Level of cover
Are the insurance premiums staged?
Yes No
If Yes, at which point is an increased
premium payable
continued over the page
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Solicitor for the (claimant) (defendant)
(Part 20 defendant) (respondent) (appellant)
Signed
Dated
an undertaking given on
has been terminated
Date
an undertaking has been given on
in the following terms
Date
Name of prescribed body
Level of cover
Are the insurance premiums staged?
Yes No
If Yes, at which point is an increased
premium payable
Click here to print form
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